ELITE BOR-SHAVIT (NPI# 1104303858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104303858 |
| Entity Type | Individual |
| Full Name | ELITE BOR-SHAVIT |
| Credential | MD |
| Practice Address |
479 Old Union Tpke Lancaster MA 01523 |
| Mailing Address |
479 Old Union Tpke Lancaster MA 01523-3029 |
| Practice Telephone | 9785373900 |
| Mailing Telephone | 9787285445 |
| Mailing Fax Number | 9785376030 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
276771 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
479 OLD UNION TPKE |
| City | LANCASTER |
| State | MA |
| Zip Code | 01523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132529 | Bin Wu | Ophthalmology | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2005-11-22 |
| 1861009524 | Alyssa R Gard | Optometrist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2020-09-28 |
| 1932758729 | Melissa A Guertin | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2019-09-05 |
| 1306314125 | Riana E Panagiotes | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2018-11-09 |
| 1588154835 | Brenda Komari | Optometrist | 479 Old Union Tpke, Lancaster, MA 01523 | 2018-05-12 |
| 1275056814 | Ramkumar Ramamirtham | Optometrist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2017-07-25 |
| 1336681246 | Khrista R Porfido | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2016-11-09 |
| 1104374628 | Judy Bavongkhoun | Optometrist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2016-09-13 |
| 1831642404 | Joan Shandrowski | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2016-07-29 |
| 1023561693 | Jessica Jones | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2016-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598014607 | Toral Patel | Optometrist | 479 Old Union Turnpike, Lancaster, MA 01523 | 2012-09-05 |
| 1275775280 | Greta Madeline Schnee | Counselor | 971 Main St, Lancaster, MA 01523 | 2009-04-06 |
| 1689866253 | Tracy Angeletti | Social Worker | 850 Main Street, Lancaster, MA 01523 | 2007-08-16 |
| 1346307766 | Michael Eliastam | Internal Medicine | 863 Main Street, Lancaster, MA 01523 | 2007-01-03 |
| 1265774145 | Suzanne Crawford-stacy | Speech-Language Pathologist | 9 Rigby Rd, Lancaster, MA 01523-1701 | 2013-03-19 |
| 1316190804 | Theodore Read Nelson | Dentist | 387 Sterling St, Lancaster, MA 01523-1843 | 2008-10-28 |
| 1366936858 | Malayvanh Sarivong | Behavior Technician | 265 Deershorn Rd # 4b, Lancaster, MA 01523-1873 | 2018-06-18 |
| 1851936074 | Raul Alarcon | Student in an Organized Health Care Education/Training Program | 19 Sylvan Rd, Lancaster, MA 01523-1956 | 2019-11-12 |
| 1053739664 | Michlle Kelly | Behavioral Analyst | 224 Mill Street Ext, Lancaster, MA 01523-2004 | 2014-04-01 |
| 1700025822 | Lucette Ghislaine Henry Saturne | Developmental Therapist | 290 Bolton Station Rd, Lancaster, MA 01523-2010 | 2009-02-12 |
| Find all providers in zip 01523 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235174483 | Roy David Brod | Ophthalmology | 2150 Harrisburg Pike Ste 370, Lancaster, PA 17601-2644 | 2006-06-19 |
| 1245490663 | Salman Porbandarwalla | Ophthalmology | 2150 Harrisburg Pike Ste 370, Lancaster, PA 17601-2644 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843937 | North Shore Retina Pllc | Ophthalmology | 900 Cummings Ctr Ste 308v, Beverly, MA 01915-6181 | 2020-08-24 |
| 1447869839 | Brian Ballios | Ophthalmology | 243 Charles St Rm 319, Boston, MA 02114-3002 | 2020-07-30 |
| 1710953690 | Shahrokh Charles Khani | Ophthalmology | 900 Cummings Center, Suite 303v, Beverly, MA 01915-6181 | 2006-02-28 |
| 1285258236 | Cris Martin Pacis Jacoba | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2020-06-05 |
| 1861979528 | Siamak Shokrollahi | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5394 | 2018-07-25 |
| 1497241962 | Omar Mohammed Abdelal | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2018-07-07 |
| 1982126769 | Mohamed Ashraf Elmasry | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2017-07-12 |
| 1205361763 | Alex Umali Pisig | Ophthalmology | One Joslin Place, Beetham Eye Institute, Joslin Diabetes Center, Boston, MA 02215 | 2017-04-21 |
| 1194957803 | S. Charles Khani, M.d. Phd, P.C. | Ophthalmology | 900 Cummings Ctr, Suite 308v, Beverly, MA 01915-6198 | 2009-08-13 |
| 1255495651 | Vasiliki Poulaki | Ophthalmology | 243 Charles St, Boston, MA 02114 | 2006-12-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.